Background: Trauma is reported to be the leading cause of death.  Thoracic trauma comprises 10-15% of all traumas. Thoracic trauma directly accounts for approximately 25% of trauma related mortality and is a contributing factor in another 25%. Eastern Mediterranean region had one of the highest rates of trauma mortalities around the world. Objective: to determine chest trauma cases as regards the pattern, etiology, type of chest trauma, management and outcome of chest trauma in Al-Hussein Hospital, Al-Azhar University. Patients and methods: A retrospective study was done on one hundred patients with traumatic chest injuries admitted to Al-Hussein Hospital, Al-Azhar University and were randomly chosen. Data were collected from patient's files. Results: The highest incidence of thoracic trauma was found in age groups of 3^rd and 4^th fourth decades.  The cause of trauma was work related; 42%, assault; 31%, road traffic accident; 20% respectively.  Forty seven percent of cases had open cardiothoracic injury, 26% had closed lung injury and hemothorax, and 18% had chest cage fracture while 9% had pneumothorax only. Conclusion:  Assault related injury was found to be the commonest cause of chest trauma followed by road and motor car accident, which could be explained by characters of population activities in the area surrounding Al-Hussein hospital.